Most Relevant Information
Provider Data
| NPI Number: | 1003014374 |
| Provider Name: | MICHAEL SCOTT CONNOLLY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0800X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 6150978-1205 |
Most Important Dates
| Enumeration Date: | 07/06/2007 |
| Last Updated: | 05/08/2024 |
Provider Practice Location
11724 S STATE ST
DRAPER
UT
840207163
Practice Location Phone/Fax
| Phone: | 8019653600 |
| Fax: |
Provider Mailing Location
2965 W 3500 S
WEST VALLEY CITY
UT
841193602
Provider Mailing Phone/Fax
| Phone: | 8019653600 |
| Fax: |
Suggested EMR
Psychiatry EMR